HomeMy WebLinkAboutBldg Permit 05-0714
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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Applicant
(Please !Vue or OIint and sil1;n at bottom)
ADDRESS l! Lf s ~
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LEGAL DESCRIPTION (office use only)
LOT ? BLJOCK J ADDITION
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OWNER
(Name)
{2 e 1'1-0 ~ ,f. k C'" '^ k r", (/, ''J
!.JCff-a pV"'d..sv,t'-.) 7,4/1,,'/
(Phone)
(Address)
BUILDER D j b
(Company Nqme) f'(J(" Do Ie
(Contact Name) J' as;''' L<:1C~ ^
(Address) I <-{ I ZJ pI>, ""''''~ 1 /..
fS"lilj((;s
(Phone)
(Phone)
4---<<-
Date Rec'd
I PERMIT NO. /}7- 7Ji-/1
~
ZONING (office use}
Rl
PID 3-36/ OO~
biz - :]06- L/I1 ~
TYPE OF WORK 0 New Construction 'A'1beck o Porch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection
CODE: OI.I~.C. OI.B.C.
Type of Construction:
Occupancy Grbup: A B
Division:
o Misc.
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S
u
PROJECT COST IV ALUE
(excluding land)
$
lo,ovu
I hereby o:rlity thaI [ have tiJrnish['{ mformation on this application which IS It) the best of my knowledge true and correct. I also certify that I am the ownef or authoflzed agent fOf the
dbow-me ne opel and th all construction will conform to a1l existlng state and local laws and will procced in accordance with submincd plans I am aware that the buildlllg
:licia an revllke IS > st cause Furthermore, I hereby agree that the c&c~ o~ Or:; ;:(;n~ ~~nr property to perform need;::"" /71n(--1 Or
Contractor's License No Date
,
Permit Valuation
Permit Fee
~hOOO,OO I
$ 101. eN
$ r.& a-r-
$ 1-.. dU
$
$
$
$
$
TOTAL DUE
Park Support Fee
SAC
Plan Check Fee
Water Meter Size 5/8"; 1 ";
State Surcharge
Penalty
Plumbing Perrhit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
1//1-'15
.., _ 'A.. 1:;- ~
/
es Your Building Permit When Approved
Paid
Date
7'~s-as
Buildini!.Otlil:ial
Date
# $
# $
$
$
# $
# $
$
$
$ /II qS-
~
- .-..-
Receipt No. LtG!' I (f J
By //1
it'
f2eQJ
ThIS IS 10 certify thallhc request inlhc above app!icatllln and accompanying documents is in accordance with the City Zoning Ordinance and m<lY proceed as requested TIllS document
when signed by the City Planner constitutes a temporal)' Certificate of Zonlllg compliance and allows construction to commence, Before occupancy, a Cenificate of Occupancy mllst be
issued
all
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
(1rJ1-r.; ...t- ~j(..o+<,
Special Conditions, if any
BY:
Residential Building Permit Checklist
A. I . Deck Additions to Single Family H. om:_
1M ~ Date: 7- ,;) 5 S-
B*ilding Permit #
Site Address c; CI'7 2'
~;;tJd (J / 'e~u.J
Zoning:
L~gal: L
B
Subdivision:
Existing Structure: YES orB
CiONFORMS TO ZONING
qRDINANCE
i
@
NO
Y~rd Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
. Side Yard
(2$' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
10'
Proposed
Uf
Lfo( I
5O-t I
;11 /)r
I.
I.
10'
Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
A1'IY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PIjANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
O1IHER UNUSUAL CIRCUMSTAI'O/CE MUST BE REFERRED TO THE PLANNING DEPARTMENT,
T$s CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PER..'VIIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:',TEMPLA TE\DECKCHCK.DOC
PRIOR LAKE DEPARTMENT OF
I BUilDING AND INSPECTION
INSPECTION
SITE ADDRESS tfl(~ F ~Elt ~W
TYPE OF WORK 1)~' -
USE OF BUILDING -6 'F
PERMITN~OG'-.7/L/ ATE ISSUED 7-;J..S-S-
BUILDER PHONE~fJ&,-l/J99
N01E: THIS I NOT A PERMIT FOR ANY OF THE INSPECTIONS BEl6w
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DAlE /
I FOpTING I I/.c~ I rf/2'~J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,
'.1 I I
J FI~AL ~' I 1d~"J /
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
SCHEDULED d)frk~
A~~//'eLJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
y~st
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
..,a-RNAL
'[J SITE INSPECTION
[J PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~:f
COMMENTS:
./
r.-. / /'
r-/n9/
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o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNI: AIR TST
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~RKSA~R.~po"r.Ffn _____
~~RECT ACTION AND PROCEED
/---
--
o CORRECT ~R~A~YREINSPECTION BEFORE COVERING
Inspector: ~_____ vw.,er/Contr:
.....-
CALL 4<17-9850 FOR TH~ NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4. SAFETY!
INSNOTJ